Candidate Data Sheet
Name:
Address:
City, State, Zip:
Home Phone:
 Work Phone:
 Email Address:
Title:

Employment History
(Please enter as many companies as possible)
Company #1
Company:
Phone:
Address:
Start Date:
 End Date:
Title:
Duties / Main Responsibilities:
Accomplishments: (Saved / Increased $/%):
Product:
Reported to:
Travel nts/week:
Compensation:
 Base:
Bonus:
 W2:
Benefits:
Car:
Reason for leaving:

Company #2
Company:
Phone:
Address:
Start Date:
 End Date:
Title:
Duties / Main Responsibilities:
Accomplishments: (Saved / Increased $/%):
Product:
Reported to:
Travel nts/week:
Compensation:
 Base:
Bonus:
 W2:
Benefits:
Car:
Reason for leaving:

Company #3
Company:
Phone:
Address:
Start Date:
 End Date:
Title:
Duties / Main Responsibilities:
Accomplishments: (Saved / Increased $/%):
Product:
Reported to:
Travel nts/week:
Compensation:
 Base:
Bonus:
 W2:
Benefits:
Car:
Reason for leaving:

Company #4
Company:
Phone:
Address:
Start Date:
 End Date:
Title:
Duties / Main Responsibilities:
Accomplishments: (Saved / Increased $/%):
Product:
Reported to:
Travel nts/week:
Compensation:
 Base:
Bonus:
 W2:
Benefits:
Car:
Reason for leaving:

Education
School Degree Major GPA Grad. From To

References
Name / Company Phone: (w/h) Relationship: (title / nature of)

Qualifiers and Precloses
Likes about current job:
Wants in next Opporunity:
Doesn't like to do now:
Likes about our Opportunity:
Unkept Promises:
What would keep you from resigning tommorrow?
What else would you like to see in an opportunity?
Preferred working environment (Managamenent style, etc.)?
What are you willing to do for the right opportunity?
Min. Comp. Desired:
  Min. Comp. Required:

Self Analysis
Assets:
Liabilities:
Rate yourself
Personality: 1  2  3 
Appearance: 1  2  3 
Overall: 1  2  3 
MPC: 

Interviewing Information
Companies would like to work for:
Companies would not like to work for:
Preferred Location:
Willing to travel nts/wk:
Willing to commute:
Willing to interview:
Available to interview:
1.)
2.)
3.)
Available to start:
Other Recruiters on file with: 
Interviewed With:  Company: Title: Date: Status:

Notes

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